<html>
<head>
<title></title>
<meta http-equiv="content-type" content="text/html; charset=utf-8">

</head>
<body>
<table height="100%" border=0 align="center" cellpadding=0 cellspacing=0>
	<tr>
		<td rowspan=3 valign="top" background="surveystyle/0-42/leftbg3.gif"><img src="surveystyle/0-42/leftbg3.gif" width="10" height="4"></td>
		
        <td height="69"><div style="font-size:36px;font-weight:bold; padding-left:30px; line-height:70px">问卷调查</div></td>
        <td rowspan=3 valign="top" background="surveystyle/0-42/rightbg3.gif"><img src="surveystyle/0-42/rightbg3.gif" width="10" height="4"></td>
	</tr>
	<tr>
	  
    <td height="40" valign="top"><div align="center"><img src="surveystyle/0-42/02.gif" width="551" height="42"> </div></td>
	</tr>
	<tr>
	  <td rowspan="2" valign="top" class="mainsection">这里是表单代码</td>
  </tr>
	<tr>
	  <td valign="top" background="surveystyle/0-42/leftbg3.gif"><img src="surveystyle/0-42/leftbg3.gif" width="17" height="4"></td>
	  <td valign="top" background="surveystyle/0-42/rightbg3.gif"><img src="surveystyle/0-42/rightbg3.gif" width="18" height="4"></td>
  </tr>
</table>
</body>
</html>